MEDICAL PRACTICE NY PC NPI 1023251261

NPI Information

NPI: 1023251261
Provider Name: MEDICAL PRACTICE NY PC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5 W 86TH ST APT 1C
NEW YORK, NY
ZIP 10024
Phone: (212) 874-0143
Get Directions

MEDICAL PRACTICE NY PC is an adult mental health clinic center in New York, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MEDICAL PRACTICE NY PC NPI is 1023251261. The provider is registered as an organization entity type.

The provider's business location address is:

5 W 86TH ST APT 1C
NEW YORK, NY
ZIP 10024-663
Phone: (212) 874-0143

The provider's authorized official is Yelena Mamedova-braz .
The authorized official title is Owner and has the following contact phone number (212) 874-0143.

The enumeration date for this NPI number is 4/17/2009 and was last updated on 11/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	185185	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G400001972	MEDICARE OSCAR/CERTIFICATION	NEW YORK
2	E94731	MEDICARE UPIN	NEW YORK
3	A400034574	MEDICARE PIN	NEW YORK
4	A100034891	MEDICARE PIN	NEW YORK
5	01274024	MEDICAID	NEW YORK
6	G100000264	MEDICARE OSCAR/CERTIFICATION	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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